Reference Request
KJD Care
Reference Request
Reference Request
Applicant
Referee
Company Details
Start Date:
End Date:
Current Status
Is the candidate still employed by this company?
Select an option
Yes
No
Please rate specific areas of this person's work performance
Rate the following areas based on your experience working with this person:
Reliability & Punctuality:
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Honesty & Integrity:
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Standard of Work:
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Ability to work with others:
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Ability to follow instructions:
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Additional Information
Is this person part of any current disciplinary procedure or investigation?
Select an option
Yes
No
Subject to company policy, would you re-employ this individual?
Select an option
Yes
No
Do you know of any reason why this applicant would not be suitable to work or have contact with vulnerable people, including children, within a care organization?
Select an option
Yes
No
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